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Males with late onset gender dysphoria "frequently engage in transvestic behavior with sexual excitement," which could include transvestic fetishism. "Habitual fetishistic tranvestism developing into autogynephilia" is given as a risk factor for gender dysphoria to develop.[2]

According to DSM-IV, this fetishism was limited to heterosexual men; however, the DSM-5 does not have this restriction, and opens it to women and men with this interest, regardless of their sexual orientation.[3]

There are two key criteria before a psychiatric diagnosis of "transvestic fetishism" is made:[4]

Individuals must be sexually aroused by the act of cross-dressing.

Individuals must experience significant distress or impairment – socially or occupationally – because of their behavior.